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Author: K.P. Schulitz Publisher: Springer Science & Business Media ISBN: 3642872743 Category : Medical Languages : en Pages : 144
Book Description
Different views about the biomechanics of the knee joint and late re construction of ligamentous injuries underline the obstacles impeding the establishment of generally acceptable principles for the treat ment of such lesions. As late as June 1976, HUGHSTON emphasized in the Journal of Bone and Joint Surgery that in spite of excellent anatomic studies, substantial uncertainty still prevails in knee joint surgery. Even the signifi cance of the anterior drawer sign for ruptures of the anterior cru ciate ligament is interpreted quite diversely, as illustrated in a comparison of HUGHSTON, GIRGIS, TORG, and SCHIECK, who give varying opinions concerning the indication related to the age of the patient or possible earlier joint damage as well as concerning the prognosis for untreated knee joints. The question still remains as to how often an intra-articular ligamentous replacement should be carried out in addition to extra-articular techniques (0 'DONOGHUE, SLOCUM, NICHOLAS, HUGHSTON). Lastly the question of synthetic ligament replacement must be clarified. After basic research has well advanced, clinical ex perience must be discussed. Statements concerning the therapeutic value of diverse procedures based solely on knowledge of the literature remain problematic. For this reason a workshop was held at the University of Heidelberg in the Orthopedic Clinic (Head: Prof. Dr. H. COTTA) in June 1977, with the aim of bringing together representatives of the different leading schools in a round table discussion to comment on still unsolved ques tions.
Author: K.P. Schulitz Publisher: Springer Science & Business Media ISBN: 3642872743 Category : Medical Languages : en Pages : 144
Book Description
Different views about the biomechanics of the knee joint and late re construction of ligamentous injuries underline the obstacles impeding the establishment of generally acceptable principles for the treat ment of such lesions. As late as June 1976, HUGHSTON emphasized in the Journal of Bone and Joint Surgery that in spite of excellent anatomic studies, substantial uncertainty still prevails in knee joint surgery. Even the signifi cance of the anterior drawer sign for ruptures of the anterior cru ciate ligament is interpreted quite diversely, as illustrated in a comparison of HUGHSTON, GIRGIS, TORG, and SCHIECK, who give varying opinions concerning the indication related to the age of the patient or possible earlier joint damage as well as concerning the prognosis for untreated knee joints. The question still remains as to how often an intra-articular ligamentous replacement should be carried out in addition to extra-articular techniques (0 'DONOGHUE, SLOCUM, NICHOLAS, HUGHSTON). Lastly the question of synthetic ligament replacement must be clarified. After basic research has well advanced, clinical ex perience must be discussed. Statements concerning the therapeutic value of diverse procedures based solely on knowledge of the literature remain problematic. For this reason a workshop was held at the University of Heidelberg in the Orthopedic Clinic (Head: Prof. Dr. H. COTTA) in June 1977, with the aim of bringing together representatives of the different leading schools in a round table discussion to comment on still unsolved ques tions.
Author: W. Müller Publisher: Springer Science & Business Media ISBN: 3642617638 Category : Medical Languages : en Pages : 344
Book Description
This new treatise is the most outstanding piece of work on the knee and its associated ligaments currently available. Never before have I seen such an extensive study of the biomechanics of the knee with such a comprehensive review of the literature. The first section of the book, which deals with the functional anatomy (structure and biomechanics), immediately alerts the reader to the necessity of understanding the natural develop ment and action of the related structures, clearly emphasizing that successful diagnosis and treatment cannot otherwise be expected; the many who want an easy standard approach to each classic problem may find this hard to accept. Study what Werner Muller has written and compare it with your own findings from repeated dissection of anatomical specimens. The author goes on to stress that to have a real grasp of reconstructive surgery of the ligaments, one must be properly acquainted with the pathology and the repair of acute lesions. In no other way can one learn to recognize chronic problems. Once this step has been mastered it can be seen that the reconstructive procedures that Muller advocates do, for the most part, follow the laws of Nature rather than create the kind of abnormalities which often disrupt natural anatomical func tion.
Author: L'hocine Yahia Publisher: World Scientific ISBN: 9811204640 Category : Medical Languages : en Pages : 403
Book Description
The ACL or anterior cruciate ligament is the most important ligament in the knee. When it is completely torn, it can lead to instability or buckling of the knee. There are several options to choose from when selecting a graft for ACL reconstruction such as using autografts including patellar tendon, hamstring tendon, and quadriceps tendon, and allografts (also known as donor tissue or cadaver tissue). Artificial ligaments are also discussed since they are still used in Europe and Asia. This book summarizes the pros and cons of each graft option in detail.
Author: Gregory C. Fanelli Publisher: Springer ISBN: 3030053962 Category : Medical Languages : en Pages : 613
Book Description
The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment.
Author: Gregory C. Fanelli Publisher: Springer Science & Business Media ISBN: 9780387405483 Category : Medical Languages : en Pages : 316
Book Description
The Multiple Ligament Injured Knee: A Practical Guide to Management presents the orthopaedic surgeon with an unprecedented review of the most recent and advanced knowledge needed to successfully diagnose and treat knee ligament injuries. This comprehensive and practical volume presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics, along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed along with useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment. The Multiple Ligament Injured Knee will be a valuable guide for attending orthopaedic surgeons, trauma surgeons, sports medicine fellows, orthopaedic surgery residents, as well as allied health professionals, including physical therapists, physician assistants, and all who treat traumatic injuries of the knee.
Author: Gregory C. Fanelli Publisher: Springer Science & Business Media ISBN: 0387492895 Category : Medical Languages : en Pages : 469
Book Description
The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment.
Author: Danny Arora Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
The ideal timing of anterior cruciate ligament reconstruction is debatable after ligament tear. Purpose: To investigate the effects of delay from time of injury to reconstruction, on the cost-effectiveness, the incidence of concurrent knee pathology, and the patientsâ quality of life. Methods: We performed 2 systematic reviews and 1 multicenter cohort study, looking at the effects of delay, from injury to surgery, on the cost-effectiveness, concurrent knee injuries, and on quality of life, respectively. Results: Despite substantial heterogeneity, ligament reconstruction was costeffective in each study. A significant increase in medial meniscal and cartilage pathology was found as of 3 monthsâ post-injury, at which point, a decline in quality of life was also detected, 2 years post-operatively. Conclusion: An increase in delay from time of injury to surgery can lead to an increase in cost, medial meniscal and cartilage pathology, and a potential decline of quality of life.
Author: John M. Siliski Publisher: Springer Science & Business Media ISBN: 9780387941714 Category : Medical Languages : en Pages : 472
Book Description
Traumatic Disorders of the Knee is a must for orthopedic surgeons with an interest in knee injuries, sports medicine, and arthroplasty. It covers: knee anatomy; acute management of trauma; late reconstructive procedures; fractures and ligament injuries; knee dislocations; allografts in knee trauma; use of external fixators; articular cartilage injury and repair; osteochondral and chondral fractures; extensile exposure of the knee; distal femoral fractures; tibial plateau fractures; patellar fractures; extensor mechanism disruption; anterior and posterior cruciate ligament injuries; collateral ligament injuries; meniscal injury and repair; malunions and nonunions of the knee; total knee replacement for posttraumatic arthritis; patellar fractures and extensor mechanism disruption in total knee replacement. Contributors include prominent surgeons from throughout North America. Features over 300 clear line drawings created especially for this book, plus 400 clear, informative radiographs and operative photographs.
Author: Fabrizio Margheritini Publisher: Springer ISBN: 3662582457 Category : Medical Languages : en Pages : 206
Book Description
This book, featuring a practical hands-on format, describes an up-to-date and comprehensive approach to the management of complex knee injuries. The aim is both to equip practitioners with reliable expert guidance and to foster consensus in a field characterized by continuing debate. Initial response and diagnostic evaluation are explained, surgical techniques appropriate for different injuries are fully documented, and advice is provided on the response to injuries in specific scenarios and patient groups. Emphasis is placed on the vital role of precise diagnosis in establishing the optimal treatment approach, and full account is taken of the implications of the most recent anatomical and biomechanical data. Readers will also find recommendations on controversial topics, including the role of early surgical management, the use of autograft or allograft tissue, and the benefits of reconstruction (as opposed to repair alone) of the fibular collateral ligament and posterolateral corner structures. The authors are leading authorities from around the world with extensive clinical and research expertise in the field of knee dislocations.
Author: K.P. Schulitz
Author: K.P. Schulitz
Author: Klaus-Peter Schulitz
Author: W. Müller
Author: L'hocine Yahia
Author: Gregory C. Fanelli
Author: Gregory C. Fanelli
Author: Gregory C. Fanelli
Author: Danny Arora
Author: John M. Siliski
Author: Fabrizio Margheritini